MANUAL THERAPY SPECIALISTS (NPI# 1477197747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477197747 |
| Entity Type | Organization |
| Organization Name | MANUAL THERAPY SPECIALISTS |
| Practice Address |
1300 Post Rd Ste 210 Fairfield CT 06824-6038 |
| Practice Telephone | 2035579111 |
| Practice Fax Number | 2036017110 |
| Mailing Telephone | 2035579111 |
| Mailing Fax Number | 2036017110 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2020-03-11 |
| Authorized Official Name | MR. DAVID J POTUCEK (OWNER/FOUNDER) |
| Authorized Official Telephone | 2035579111 |
| Authorized Official Credential | MSPT CFMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MANUAL THERAPY SPECIALISTS LLC | 195 Georgetown Road, Weston, CT 06883 |
| Street Address |
1300 POST RD STE 210 |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-6038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720168545 | David J Potucek | Physical Therapist | 1300 Post Rd Ste 210, Fairfield, CT 06824-6038 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1487198214 | Evamarie Koehler Elinskas | Speech-Language Pathologist | 50 Potters Lane, Fairfield, CT 06824 | 2016-12-13 |
| 1447794441 | Nicholas C Kopazna | Counselor | 433 Meadow St, Fairfield, CT 06824 | 2016-12-09 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
| 1518342781 | April Vanbergen | Counselor | 1275 Post Rd., Suite A5, Fairfield, CT 06824 | 2015-07-29 |
| 1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
| Find all providers in zip 06824 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669009973 | Arvin Velarde | Clinic/Center | 630 Verona Ct, Fairfield, CA 94534-6752 | 2020-03-25 |
| 1740577964 | Kevin Norman Kopack | Clinic/Center | 297 Passaic Ave, Unit 3, Fairfield, NJ 07004-2503 | 2011-07-08 |
| 1235166513 | Matrix Rehabilitation Ohio, Inc | Clinic/Center | 3174 Mack Rd, Unit 6&7, Fairfield, OH 45014-5369 | 2006-06-26 |
| 1790789295 | Vibrantcare Outpatient Rehabilitation of California Inc | Clinic/Center | 3001 Dover Ave, Suite B, Fairfield, CA 94533-9795 | 2005-06-13 |
| 1578104667 | Perfect Ten Physical Therapy | Clinic/Center | 27 Law Dr, Fairfield, NJ 07004-3206 | 2019-10-01 |
| 1598134082 | Soulcare Physical Therapy,llc | Clinic/Center | 79 S Benson Rd, Fairfield, CT 06824-6230 | 2015-09-15 |
| 1013209139 | Kamryn Michelle Krueger | Clinic/Center | 2000 S Main St, Fairfield, IA 52556-9572 | 2011-05-08 |
| 1255590675 | Preneta Physical Therapy, PC | Clinic/Center | 2119 Post Rd, Fairfield, CT 06824-5657 | 2008-06-02 |
| 1750585386 | Elizabeth L. Upton, Mspt LLC | Clinic/Center | 303 Linwood Ave, Unit 1c, Fairfield, CT 06824-4900 | 2007-06-14 |
| 1154400927 | John Jarecki Physical Therapy Services LLC | Clinic/Center | 1735 Post Rd, Suite 7, Fairfield, CT 06824-5782 | 2006-11-03 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.